Asuhan Keperawatan Hiperbilirubin + BBLR

 

KUTHKL ID^DVKRKPKL ^K@K FQ. L FFCV FFCV ^VDMKPTV HA^DVFACAVTFAL @A VTKLBKL LDJLKPTU VUT@ FDL MFJA VTPDLB

Jcdh? Kcdiskl`dr Bultur U. Idp

^VJBVKM UPT@A LDVU GKITCPKU ACMT IDUDHKPKL @KL ^DVPKLAKL TLAWDVUAPKU IKPJCAI AL@JLDUAK UKLPT ^KTCTU VTPDLB PKHTL 6>6;

 

^DVUDPTOTKL

KUTHKL ID^DVKRKPKL ^K@K FQ. L HA^DVFACAVTFAL Jcdh ?

KCDIUKL@DV BTLPTV  LAM ? 6;6>5>6>

Ksuhkl idpdrkwktkl –HA^DVFACAVTFAL – ala Pdckh `asdtuoua pk`k tklbbkc........ 6>6;

Mdlydtuoua EA CKHKL

 

EA ALUPAPTUA

..……………………………..

……………………………..

LA@L.

LA^.

 

 Lkmk Mkhksaswk yklb mdlbikoa

? Kcdiskl`dr Bultur U.Idp

 LAM

? 6;6>5>6>

Tlat

? Klki/Ldjlktus

Kutjklkmmdsd Uumfdr `ktk

? Pa`ki  ? Afu Ikl`ulb

Kccjklkmmdsd

? Ayk

Pklbbkc MVU

? 6>/;;/6>6;

Okm MVU

? ;5?6>

Uumfdr @ktk

? Kykh

LJ. VM

? 6;5 414

Pklbbkc ^dlbikoakl

? 6>/;;/6>6;

Okm

? ;0?;4

^rkvacaum

?

@x. Mksui ? Hapdrfacarufal + FFCV ^rdmktur  

Vuklbkl/Idcks

? Klki/Ldjlktus

@x ^jst J^ ?

K. A@DLPAPKU

k. A`dl A`dlta tatk tkss kl klki  ki   Lkmk Tsak Odlas idckmal

Fy. L

0 hkra Ckia-ckia

Klki Id

 f. A`dltatks Jrklb Puk  Lkmk Afu  Lkmk Kykh ^didrokkl Ky K ykh/Afu ^dl`a`aikl Kykh/Afu Kbkmk Uuiu/Fklbsk Kckmkt

Ly. M Pl. C ^dtkla/^dtkla U@/ U@ Ihktjcai  Mklbbrka/Al`jldsak Ckmfk/Pacar 

 

F. VARKQKP VARKQKP UKIAP UKIAP @KL @KL IDUDH IDUDHKPK KPKL L ;. Idcuhkl Ttkmk ^ksadl ^ks adl `ktklb `ktklb id

Vsu` Vsu` Fdl MFJA MFJA , Ly. M Mdlbkt Mdlbktkikl kikl Fkyalyk Fkyalyk Fdrwkrl Fdrwkrlkk

Idiulalbkl ^k`k Fkbakl Rkokh @kl Cdhdr `kl pksadl sdski lkpks. 6. Vawkykt ^dlykiat sdikrklb Fkya ckhar `dlbkl spjltkl pdrvkbalkkl `kra afu B ; TI 62-68 mbb.ckhar ta`ki  cklbsulb mdlklbas.Lacka K^BKV 8-8-1,Ckhar pk`k tklbbkc ;2/;;/6>6;idtufkl  odrlah. Udckmk `a ^usidsmks Fjrjlb suhu `kl ckou lkpks ta`ki stkfac. Udcklout jrklb tuk mdruoui id Vs FDL MFAJ Vutdlb. Iu ? sd`klb. Tsak fkya ? 6 hkra ckia-ckia, ckia-ckia, FFC ;0>> Br,^F 51 Em, C@ 61 em, C^ 68 em. Iucat Iucat ? aitdrai aitdrai (+), idpkck ? Vkmfut hatkm hatkm `kl tapas, tapas, ta`ki k`k cdsa `aiucat idpkck. Calbikr idpkck 5> em `kl fdltui idpkck ljsmjedphkc (+). Pjrkxs ? Fdltui `k`k samdtras, rdtrkisa `k`k (+/+), pjck lkpks ljrmkc, sukrk lkgks vdsaiucdr, arkmk tdrktur, odlas pdrlkpkskl ( `k`k) ta`ki k`k cdsa, Grdiudlsa lkgks 70 x/mlt. Kirkc hklbkt Uuhu ? 52,7 Ej 5. Vawkykt Kcdrba Vawkykt Kcdrba Odlas Kcdrba Jfkt Mkiklkl Idtdrklbkl

? ( ) ta`ki ( ) Qkh ? ta`ki k`k ? ta`ki k`k ? ta`ki k`k ? Afu ta`ki k`k rawkykt kcdrba

0. Vawkykt idsdhktkl idcukrbk Vawkykt Idsdhktkl Idcukrbk

Afu mdlbktkikl idcukrbk ta`ki pdrlkh mdl`dratk pdlykiat mdluckr PFE, hdpktatas ktkupul HAW/KA@U, @M (@akfdtds Mdcatus), mkckrak, mkupul HAW/KA@U. Vawkykt Idmfkr `kl Idekektkl Afu mdlbktkikl ta`ki pdrlkh mdmacaia rawkykt idckharkl idmfkr.@kl ta`ki k`k yklb mdmacaia rawkykt idekektkl. 4. Amulasksa FEB

HD^KPAPAU F ^JCAJ

? (+)

 

@^P EKM^KI  CKAL - CKAL Idtdrklbkl E. IDK@ IDK@KK KKL L TMTM TMTM ;. Idk`kkl Tmum

^ksadl tkmpki skiat sd`klb Kckskl ? tdr`kpkt sakljsas pk`k `kdrkh mucut,mdlklbas fdriurklb,wkrlk iucat idiulalbkl 6. Idsk`krkl

Iukltatktag ( Kcdrt,Wdrfkc,^kal Kcdrt,Wdrfkc,^kal `kl ulejlseajus ) ^kal ? pksadl mdmfuik mktk skkt `a eufat 5. Pumfuh idmfklb

;) Pumfuh FF skkt ala FF/PF

? ;5>> Ib, ^f/Pf ? 58 em ? ;5>> Ib/58 em

Altdrprdstksa baza

?-

 Idsampuckl

?-

6) Idmfklb  ^draj`d usak pdridmfklbkl  Pkhkp pdridmfklbkl psaijsjsakc (draisj)  Pkhkp pdridmfklbkl psaijsdisukc (Grud`)  Pkhkp pdridmfklbkl ijblatag (^akbdt)  Pkhkp pdlackakl Ljrmkc

@. ^jck ^jck ^dmdluhkl ^dmdluhkl idfutuh idfutuhkl kl sdhkra-h sdhkra-hkra kra

;. Lutrasa @a VU ? Icadl mksah `a pukskikl,Icadl `a fdraikl tjtkc pkrdltdrkl ikrdlk tdrpksklb JBP `kl rdtdlsa fklyki. 6. Kitav Kitavat atks ks `kl `kl ast astar arkhk khktt 

Astarkhkt @a VU ? Icadl `kpkt ta`ur `dlbkl lydyki,Icadl sdralb fklbul `kl mdlklbas ikrdlk pjpjilyk fkskh kiafkt FKI `kl FKF.

 

Kitavatks



Udbkck idfutuhkl `apdluha jcdh pdrkwkt ruklbkl, kitavatks icadl fdrk`k `kc `kckm fjis fjis fkya fkya `afk `afkwk wkh h salkr lkr gj gjttj thdr hdrkpy kpy sdc dckm kmkk 7 okm `kl `kl `aas `aasta tark rkhkt hktikl ikl sd sdck ckmk mk ½ ok okm m `kl `a `ack cklo lout utik ikl l idmfk idmfkca ca ha halbb lbbkk ik ik`kr  `kr   facarufallyk turul. 5. Dc Dcam amalk alksa sa mai maisa sa ― `dgd `dgdik iksa sa @a Vs ? Ukkt `a ikoa FKF ; x `kl FKI 6 x wkrlk wdsds hatkm. 0. Hyba Hybadl dldd pdrs pdrsjl jlkc kc @a VU ? Fkya `amkl`aikl ; ikca ikca sdhkra `kl idfdrsahkl fkya `afkltu jcdh pdrkwkt,  pjpji `abklta sdtakp ikca pjpji fkskh jcdh ural `kl gdsds. D. ^dmd ^dmdra raisk iskkl kl gasai gasai

;. Pkl` Pkl`kk ttkl kl`k `k vatk vatkcc  Idk`kkl Tmum ? pksadl tkmpki skiat sd`klb  P@

?-

  Lk`a

? ;44 x/mdlat

 Uuhu

? 52,7 E >

 VV

? 5> x/mdlat

 UpJ6

? 18%

6. Idpk Idpkck ck `k `kl l Vkm Vkmfu futt Vkmfut hatkm `kl tapas, ta`ki k`k cdsa `aiucat idpkck. Calbikr idpkck 5> em `kl fdltui idpkck ljrmjedphkc (+) wkrlk wkokh tdrcahkt iulalb, ta`ki k`k cdsa pk`k wkokh, iucat fdrsah 5. Mktk mktk tdrtutup pdlutup mktk skkt tdrkpy salkr, mktk icadl sdmdtras ta`ki k`k cdsa pk`k id`uk mktk. 4. Mucut muijsk fafar kbki idralb, ca`kh icadl tkmpki mksah fdrwkrlk iulalb, k`k  fdiks multkh `a su`ut fafar icadl, tdrpksklb JBP, rdtdlsa ckmfulb skkt ksparksa JBP 6 ee wkrlk haoku Ckfaj/ fafar sumfalb ? Pa`ki k`k 0. Ha`ulb

 

Pa`ki k`k cdsa pk`k ha`ulb, cufklb ha`ulb fdrsah, tdrpksklb J6. 4. Pdcalbk Fdltui samdtras, ta`ki k`k sdrumdl `kl tkmpki fdrsah (+/+) 7. Mucu Mucutt ` `kl kl td tdlb lbbjr bjrkik kikl l Muijsk fafar kbki idralb, ca`kh icadl tkmpki mksah fdrwkrlk iulalb, k`k  fdiks multkh `a su`ut fafar icadl, ta`ki tdrpksklb JBP. 2. Cdhdr Pa`ki k`k idckalkl, ta`ki k`k pdmfdskrkl idcdlokr tarja` / `astdlsa vdlk  oubjckras. 8. @k`k @k`k Oklt Okltulb ulb @kl @kl ^ulb ^ulbbul bulb b Fdltui `k`k samdtras, rdtrkisa `k`k (+/+), pjck lkpks ljrmkc, sukrk lkgks vdsaiucdr, arkmk tdrktur, odlas pdrlkpkskl ( `k`k) ta`ki k`k cdsa, Grdiudlsa lkgks 5> x/mlt. Uukrk okltulb Rkitu pdlbasakl ikpacdr

? U; U6 tulbbkc ? 5”

@dlyut lk`a

? Grdiudlsa = ;44x/mdlat,

Idtaki ? Pkmpki Fdrsah 1. Kf`jmdl ^dmfdskrkl hdpkr

? Pa`ki k`k pdmfdskrkl hdpkr (-)

^drastkctai usus

? ;6 X/ Mdlat

@astdlsa kikl`ulb idmah

?-

^driusa

? supdc,Fu (+)

;>. Bdldtkcak Bdldtkcak `kl `kl Klus Klus Ckia ―ckia

? Ljrmkc, tkmpki fdrsah

Klus

? Ljrmkc, pdlbdcukrkl mdijlaum hkra id ;, rukm pjpji ta`ki k`k.

;;. Musiucjsicd Musiucjsicdtkc tkc `kl Altdbumdl Altdbumdl Mjrj (+), mdlbbdlbbkm mdlbbdlbbkm (+) cdmkh, cdmkh, mdlbhaskp mdlbhaskp (+) cdmkh, rjjthalb rjjthalb (+) cdmkh, fkfalsia (+), tjlae ldei (+). Purb Pu rbjr jr iu iuca catt

? dck dckst stas as,, cdm cdmki ki tap tapas as..

 Iucat

? tkmpki iulalb `a `kdrkh muik

 Kirkc

? Hklbkt, EVP 5”

 

G. ^dmd ^dmdra raisk iskkl kl pdlu pdlulo loklb klb ^dmdraiskkl RFE  LDT CQM MJLJ DJU FKUJ

Hksac ;;,4 0,>8 4,;8 6,5 .580 .0,54

Uktukl ;>d5/Tc % % % % %

Lacka ljrmkc 5.2> -;>.; ;,75 -7,17 ;,>1 - 6,11 0,0>-;6,2> .>5> -00> >.>> - ;.2>

VFE HBF HEP MEW MEH MEHE V@R ^CP M^W FACC PJPKC FACC @AVDEP

4,67 ;2,5 46,4 11.8 56.8 56.1 ;4.> 61>. 4.00 64.>> ;,70

;>d5/Tc b/`C % gC  pb b/`C % ;>d5/uC Gc mb% mb%

0.>7 - 0,71 ;6.1-;0.6 52.2-45.6 8;.;-17.> 62.>-5;.6 5;.8-64.0 ;;.4-;0.4 ;44-577 7.1>-;>.7 s/` ;,> s/` >,68

B. PDVK PDVK^A ^A JFKP

BJCJLBKL

Kmpaeaccal 6x;5> mb AW Bdltkmaeal ; x 7,4 Mb AW

Kltafajtai

Kltafajtai  kmaljbcaijsa`k

EKVK ^DMFDVAKL Av

DGDI UKM^ALB

@akrd Mukc Multk Bktkc,, idmdrkhkl, Bktkc idmdrkhkl, ktku aratksa aratksa



 pk`k iucat yklb `ajcdsa jfkt 

  Ar Arat atks ksaa

td tdca calb lbkk

sd sdrt rtkk

rk rksk sk

tdr tdrsdl sdlbkt bkt ktku ktku tdr tdrfki fkikr kr pk`k pk`k

 

tdcalbk yklb `ajfkta 

 Idmdrkhkl pk`k mktk, ckpaskl  fkbakl

`kckm

mktk,

ktku

idcjpki mktk 

  Vk Vksk sk sk skia iatt pk pk`k `k kr krdk dk yk yklb lb `asultai



 Lydra sdl`a



Ukiat idpkck



^drufkhkl suksklk hkta



Bklbbukl pdlbcahktkl



Mukc Mu kc,,

mult multkh kh,,

id idha hack cklb lbkl kl

sdcdrk mkikl, ktku pdlurulkl  fdrkt fk`kl   Gjtj tdrkpy

 



@dha @d ha`r `rks ksaa

kt ktku ku

id idiu iurk rklb lbkl kl

ekarkl 

^drufkhkl wkrlk iucat mdlok`a sdpdrta tdmfkbk (frjlzd fkfy syl`rj syl `rjmd) md).. Lkmul Lkmul idckal idckalkl kl al alaa ki kikl kl sd sdbd bdrk rk mdlbh mdlbhac ackl klb b sd sdar aral alb b



`d `dlbk lbkl l

pdlbh pdlbhdlt dltak akl l

gjtjtdrkpa Fdreki Fdr eki idmdrk idmdrkhkl hkl pk`k iucat iucat yklb

kikl

mdlbhacklb

 fdrklbsur-klbsur  

Fkya mulbial kikl mdlbkckma `akrd sdckmk fdfdrkpk wkitu. Oa Oaik ik `a `akr krdd  fdfdrkpk idmf idmfkc kcaa

mdld mdldtk tkp p

sd sdck ckmk mk

hkra, Kl`k

`kpkt

ijlt ijltrj rjcc

Klki Kl`k.

id

`jit `jitdr  dr 

 



Hapdrt Hap drtdrm drmak ak ktku ktku suhu suhu tufuh tufuh  fkya `a ktks ljrmkc

H. KLKC KLKCAUA AUAU U @KP @KPK K  Lkmk pksadl Tsak  Lj. VM Lj Pklbbkc ; 6>/;;/6>6;

? Fy. L ? 0 Hkra ?@ktk

@U ? @J ? 







6

6>/;;/6>6;

Ud`klb `a ckisklkikl  prjbrkm gjtjtdrkpy Rkrlk iucat idiulalbkl, idiula lbkl, tamfuc tamfuc idmdrkhk hkl l pk pk` `k distdrmatks ktks `kl  fkwkh. Uuhu 52,7 Ej,kirkc tdrkfk hklbkt, EVP ? 5”  L ? ;44 fpm VV ? 7>x/m Up>6 ? 18%

@U ? 

 Ly. M mdlbktkikl  fkhwk iucat fkya lyk idiulalbkl  pk`kh `kdrkh wkokh.

@J ? 



I/u ? Ud`klb, Kirkc hklbkt, P/i ? EM Iucat tkmpki idiulalbkl Facc

Dtajcjba Hapdrfacarufal ↕ Gksiucdr

Mkskckh Idruskikl

Altdbratks Iucat

↕ Aitdrus ↕ Gjtj tdrkpa ↕ Idruskikl Altdbratks Iucat @dgdsadlsa kcfumal ↕ ^dlalbiktkl ik`kr facarufal `kckm `krkh ↕ Facarufal al`drai  mdlabikt

Aitdrai 

 



5

6>.;;.6;

tjtkc ? 64 mb%. Facc `ardet ? ;,70 mb% PPW ? U ? 52,7 E>  L ? ;44x/m VV ? 70 x/m Up>6 ? 18 %

Idcdtahkl jtjt

@U ? -

 pdrlkpkskl

@J? 

    

0

6>.;;.6;



 pdraj`d kpldk +. ^rdmkturatks ckhar prdmktur  Tsak idhkmackl skkt ckhar 62-68 malbbu



 tdrpksklb uve



tdrpksklb JBP



Hksac ckf tklbbkc Cduijsat ;;,4

↕ Gulbsa jrbkl-

jrbkl fdcum Fkai  ↕ Vdsaij algdisa

;>5/uC, DJU ? .580 %, Mjlj ? 6,5 % 

PPW ? U ? 52,7 E>  L ? ;44x/m VV ? 70 x/m Up>6 ? 18 %

A. @AKB @AKBLJ LJUK UK ID^D ID^DVK VKRK RKPK PKL L

Lj

Pklbbkc

^jck lkgks ta`ki dgditag

Iu ? sk`kr rdtrkisa `k`k k`k sdski k`k, whddzal b ta`ki k`k, rjleha k`k, U ? 52,2Ej  HV?;44 x/m  VV ? 70 x/m  U^J6 ? 18%

@U ? @J ? 

↕ Aitdrai

@akbljsk idpdrkwktkl

Vdsaij algdisa

 

;

6;/;;/6>6; 6;/;;/ 6>6; Idruskikl Idruskikl Altdbratk Altdbratkss Iucat Iucat Fdrhufulbkl Fdrhufulbkl @dlbkl Pdrkpa Pdrkpa

6

Vk`aksa ( Gjtj Pdrkpy) 6;/;;/6>6; Aitdrai 6;/;;/6>6; Aitdrai fdrhuful fdrhufulbkl bkl `dlbkl `dlbkl pdlalbiktkl pdlalbiktkl ik`kr facarufal facarufal `kckm

5

`krkh. 6;/;;/6>6; 6;/;;/ 6>6; ^jck lkgks ta`ki dgditag dgditag fdrhufulb fdrhufulbkl kl `dlbkl `dlbkl Idcdta Idcdtahkl hkl jtjt jtjt

0

 pdrlkpkskl 6;/;;/ 6;/ ;;/6>6 6>6; ; Vdsaij Vdsaij algdis algdisaa fdrhufulb fdrhufulbkl kl `dlbkl `dlbkl ^rdmktur ^rdmkturatk atkss

 

O. ^DVDLEKLKK ^DVDLEKLKKL,^DCKIUKL L,^DCKIUKLKKL, KKL, @KL DWKCTKUA ID^DVKRKPK ID^DVKRKPKL L ^drdleklkkl Pbc

@akbljsk idpdrkwktkl 6> 6>/; /;;/ ;/6; 6; Id Idru rusk skik ikl l

altdbratks iucat  fdrhufulbkl  fdrhuful bkl `dlbkl gjtjtdrkpa

Puoukl & iratdrak hksac Altdrvdlsa Vksajlkc Puoukl? Pa`ki   k. Cal` Mdlbha hal` l`kr kraa Cal`ulba ulba mktk k. Mdlb mdlbkckma ijltki cklbsulb  fkya `dlbkl ij ijmp mpca caik iksa sa `k `kra ra gjtj tdrkpy mktk `dlbkl  pdlutup mktk

Iratdrak hksac salkr  ihusus ;. ta`ki   mdmpdrcahktikl f.  Edi mktk fkya  f. Mdledbkh aratksa mktk, idtdrckmfktkl sdtakp shagt `dha`rksa,  pdlklbklkl  pdlklbk lkl idta`kistkfackl (`r (`rkal kalksd ksd `kl `kl tdmpdrkt tdmp drktur, ur, `kl e. ^d ^dle lekh khky kykk kkl l aratksa) idruskikl iucat mk mkisa isamu mum m `k `kl l 6. Fk Fkya ya tdrc tdrcal al`u `ulb lb e. Cdtk Cdtkiikl iikl fkya `kra sumfdr   mdrktk sdrtk tdckloklb ekhkyk jrbkl vatkc 5. Pa`ki tamfuc `afkwkh ckmpu cdedt kiafkt tdrcal tdrcal`ul `ulba ba `k `kra ra `dlbkl  pdldiklkl  pdldiklk l iucat idruskikl yklb tdrckcu  pdrcal`ulb  pdrcal`ulbkl kl ckmk ^dmkpk kpkrkl rkl pk pklks lks mktk `kl `. ^dm

Ampcdmdltksa 

Tfkh pjsasa

Dvkcuksa

Pt`

U?-

ta`ur takp 6 okm 

Ckiuikl mksksd J ?  pk`k fkbakl fkbakl

Aitdai

yklb tdrtdikl

 fdiurklb,,  fdiurklb

^kltku iucat fkya

`akpds rush

`kl suhu alta

ta`ki k`k,

sdtakp 6 okm ktku

ta`ki k`k

cdfah sdralb

cdedt `a

skmpka stkfac

iucat

Putupa mktk fkya

Iucat fkya

`dlbkl pjtjlbkl

mksah

ikal, pkstaikl

tkmpki

 fkhwk pjtjlbkl pjtjlbkl

iulalb `kl

ikal tdrsdfut

mksah

mdmulbialikl

ta`ki mdlutupa

idmdrkhkl.

tdmpdrktur 

tdrok`alyk

ha`ulb fkya

Ud Ud`k `klb lb `a

kisack

idta`kistkfackl

euea krdk

ckisklkikl

 pdraldkc sdtdckh sdtdckh

 prjbrkm

sdtakp FKF `kl

gjtjtdrkpy

mdlalbiktikl

FKI, bklta

PPW

 pdlbukpkl  pdlbukp kl yklb

`akpdrs

Uuhu Uuh u 52, 52,6 6

Tiur ik`kr

Ej,

 facarufal sdrum sdrum

tdrkfk

sdtakp hkra

hklbkt,

idmkcukl `. Mjlatjr 

`dlbkl





salkr 



 

d. ^kstaikl altkid

ekarkl k`dquktd.

suhu fk`kl d. ^dm ^dmkp kpkrk krkl l pkl pklks ks

hkrus `a `abk bklt ltaa

sdbdrk `d `dlb lbkl kl

altkid ekarkl



kirkc

EVP ? 5”

g. Mdl Mdldikl ikl rdsa rdsai ij

 L

adratksa iucat

?

;4>

 fpm VV

?

5>x/m Up>6  18%. 6; 6;.; .;;. ;.6; 6; Ai Aitd tdra rai i  fdrhufulbkl  fdrhuful bkl

Udtdckh `afdra ksuhkl

k. Mjlatjr aetdrai pk`k

k. Aetd Aetdra rai iy ykl klb b ta`ki `atklbkla

Mdmjlatjr

U?-

wkrlk iucat

J ? idk`kkl

?

`dlbkl

idpdrkwktkl

 pdlalbiktkl  pdlalbik tkl

sdckmk ;x60 okm

ik`kr

`ahkrkpikl aetdrai

 facarufal

 pk`k fkya tdrktksa

`kckm `krkh.

`dlbkl

 fkya

umum

sdcuruh tufuh

Mdlbjfsdrvksa

euiup,

idfutuhkl

 fkya `kl sklbkt sklbkt

vatkc sabl

aetdrai

ekarkl

 fdrfkhkykk  fdrfkhky

Mdlamfklb

 fdriurklb..  fdriurklb

FF

idiulalbkl

 f. A`dltagaiksa

e. Mj Mjla latj tjrr suh suhu u

 f. Gjtjthdrkpa

`kl tkl`k

mdmfdraikl

Mdlbjfsdrvksa

Facc tjtkc ?

Fkya ta`ki

vatkc takp 0

dgdi dvkpjrksa

idk`kkl umum

64 mb%.

aetdrai 

 okm

yklb mdlalbikt.

 fkya

Facc `ardet ?

Mdlbjfsdrvksa

>,70 mb%.

iratdrak hksac ? 

`kpkt mdcuks id

iucat fkya

 

 

Hksac facarufal `kc fktks ljrmkc

`. Mj Mjla latj tjrr dgdi dgdi

e. Pk Pkl` l`kk- tkl tkl`k `k

skmpalb

vatkc

altkid `kl

gjtjthdrkpy

mdlbbkmfkrikl

jutput

( hapdrtdrma,

 pdrufkhkl  pdrufkhk l yklb

Mdckiuikl

rush pk`k

tdrok`a `a `kckm

tal`kikl

iucat)

tufuh fkya.

ijckfjrksa

d. D`uiksa

`. Fk Fky ya ykl yklb

`dlbkl `jitdr

jrklb tuk

sklbkt sdlsatavd

ultui gjtj

ultui

sklbkt rdltkl

thdrkpy

mdmfdraikl

tdrhk`kp pklks

KUA.

`kra salkr gjtjthdrkpy

g. Ijck Ijckfj fjrk rksa sa ? gjtjthdrkpa

d. Jr Jrkl klb b tuk tuk hkru hkruss tku tdltklb

;x60 okm

ijl`asa fkyalyk. •

Gjtjthdrkpy `kpkt mdmdekh  facarufal sdhalbbk `kpkt `asdirdsa, `kl ik`kr facarufal

 

`kckm tufuh 6> 6>.; .;;. ;.6; 6; ^j ^jck ck lk lkgk gkss

Udtdckh `ackiuikl

mdlurul. Mdmfkl kltu tu `k `kck ckm m  Jfsdrvksa ;. ^k ^klt ltku ku talb talbik iktt ;. Mdmf

ta`ki dgditag

tal`kikl

 pdrlkpkskl,  pdrlkpk skl,

mdmfd`kikl

 pdrufkhkl  pdrufkhk l pjck

 fdrhufulbkl  fdrhuful bkl

idpdrkwktkl

id`kckmkl,

 pdraj`d

lkgks

`dlbkl

sdckmk 5x60 okm,

`kl

 pdrputkrkl

 Mdlbkikoa pjck

Idcdtahkl jtjt

`ahkrkpikl pksadl

idmu`khkl

 pdrlkpkskl  pdrlkpksk l

uskhk `kl

 pdrlkpkskl  pdrlkpksk l

mkmpu ?

 fdrlkgks

ljrmkc `kra

rdstrkisa lkpks

;. Utktus

6. ^drh ^drhkt ktai aikl kl

sdrklbkl

 Mdlbktur pjsasa

^drlkpkskl?

 pjck lkgks lkgks

kpldtai sdokta,

 pksadl id pjsasa pjsasa

Idpktdlkl okckl

icadl.

tdrutkmk sdralb

idpkik sdma

tdrok`a

distdlsa

lkpks.

5. Pdltuik tuikl l kpkikh icadl

 pk`k bdstksa bdstksa

^drlkpkskl?

`aspldu

malbbu id-5>

Wdltacksa

gasajcjbas ktku

6. Utktus

5. Utkt Utktus us tkl` tkl`kk-

 psaijcjbas.  psaijcjb as.

 ^kltku k`klyk

kpldk

6. mdlb mdlbdt dtkh khua ua oai oaikk  Ijckfjrksa tdr`kpkt

 pdmfdrakl  pdmfdrak l

tkl`k-tkl`k

jisabdl

tkl`k vatkc.

0. Fdra Fdraik ikl l tdr tdrkp kpaa

 @dlbkl iratdrak iratdrak

jisabdlksa

yklb

hksac ?

(Ktur

mdlydfkfikl

 pdmfdrakl  pdmfdrak l jfkt

Mdlulouiikl

 pdrkcktkl

`aspldu.

Kmpaeacal 6 x

 pjck pdrlkpkskl pdrlkpkskl

jisabdlksa,

yklb

mjlatjr kcarkl

mdldmuikl

Bdltkmaeal ; x

mdl`uiulb

jisabdl,

 fkhwk

7,4 mb / AW

hksac bks `krkh

 pdrtkhklikl  pdrtkhkl ikl

idtaik

`kckm pkrkmdtdr 

 pjsasa pksadl). pksadl).

 pdlydfkflyk  pdlydfkf lyk



5. Utu`a

 

ktku iaskrkl





4. Mjlatj atjr

k`kckh gasajcjbas

ljrmkc.

Pdiklkl

mdmacaia tkl`k

^ksadl

`krkh, lk`a,

bdokck

mdckpjrikl

suhu, `kl

idedmkskl `kl

 fdrlkgks `dlbkl `dlbkl

Vdsparktajl

idsdmutkl pk`k

lykmkl.

rktd

dxtrdmatks,

Mdlba`dltagaiks

(pdrlkgkskl).

sd`klbikl

a `kl

 fack `apsldu atu

mdlbhal`kra

 psaijcjbasc

gkitjr-gkitjr

tkl`k

spdsagai yklb

bdokcklyk mdlba

`kpkt

tdrikat, fktui,

mdmpdrfurui

`khki,

 pjck lkgks. lkgks.

`kl pkcpatksa. 0. ^d ^drf rfka kaik ikl l ik` ik`kr kr jisabdl `kl ikrfjl`ajisa`k `kpkt mdlalbiktikl gulbsa

 Ijckfjrksa

;5> mb/AW

 

 pdrlkpkskl.  pdrlkpksk l. 4. mdmk mdmklt ltku ku vatk vatkcc ;. Ikoa Ikoa tkl` tkl`kk-

sabl icadl. k. Md Mdld ldlt ltui uikl kl

;. tkl` tkl`kk v vat atkc kc `kl `kl

Vdsaij

Udtdckh `ackiuikl

algdisa

ksuhkl

tkl`k vatkc

altdrvdlsa cdfah

tkl`k-tkl`k

 fdrhufulbkl  fdrhuful bkl

idpdrkwktkl

`kl tkl`k-

cklout

algdisa sdtakp 7

`dlbkl

sdckmk 5 x 60 okm,

tkl`k algdisa

Mdmalamkci Mdmalamkcikl kl

 okm

 prdmkturatkss  prdmkturatk

icadl tdrhal`kr `kra

sdtakp 7 okm

algdisa, `dlbkl

6. Bulki lkikl

 f.

tdrok`alyk algdisa 6. Bulkikl sacklb e. Mdma Mdmala lamk mkci cikl kl

tdihlai ksdptae sdfdcum `kl

iratdrak hksac?

tdihlai

;. PPW ljrmk rmkc

ksdptae

tdrok`alyk algdisa

sdsu`kh ijltki

Uuhu fdrk`k

sdfdcum `kl

sacklb afu `kl

`dlbkl fkya

`a rdltklb

sdsu`kh

 fkya

57> E-52> E

ijltki `dlbkl `. Tltui

Vdsparksa

 fkya







 pk`k rdltklb rdltklb

5. Kl Klou ouri rikl kl afu afu

0>x/mdlat-

mdleuea

7>x/mdlat

tklbkl,

5. Kl Klou ouri rikl kl afu afu mdleuea

mdmalamkcikl

tklbkl,

 pdrtumfuhkl  pdrtumfu hkl

mdmfdrsahikl

 fkitdra

 puttalb `kl

d. Kl Klta tafa fajt jtai ai ul ultu tui i

 pkyu`krkk  pkyu`kr

mdmfdrsahik

mdledbkh

`dlbkl kar

 Lk`a `kckm rdltklb

l puttalb `kl

tdrok`alyk

mktklb

6>x/mdlat-

 pkyu`krk

 pdrtumfuhkl  pdrtumfu hkl

sdfdcum

;0>x/mdlat

`dlbkl kar

 fkitdra

mdmdrks KUA

6. Pa`k Pa`ki i k` k`k

mktklb

0. Kokr Kokrik ikl l aafu fu

 

tkl`k ― tkl`k

sdfdcum

ekrk mdleuea

algdisa

mdmdrks KUA

tklbkl `dlbkl

0. Kokr Kokrik ikl l af afu u

7 cklbikh fdlkr 



Ijcjr 



@jcjr 

ekrk mdleuea



 Vufjr 

tklbkl `dlbkl

 pdmfdrakl  pdmfdrak l jfkt.



Pumjr 

7 cklbikh

Kmpaeacal 6 x



Gulbsajcdsk

 fdlkr

;5> mb/AW

4. Idcjck  pdmfdrakl  pdmfdrak l jfkt.

4. Idcjck

Bdltkmaeal ; x 7,4 mb / AW

 

I. EKPKPKL ^DVIDMFKLBK ^DVIDMFKLBKL L  Lkmk pksadl ? Fy. L

Tsak

? 0 Hkra

Hkra A Pklbbkc

6;.;;. .;;.6 6;

@akbljsk Idpdrkwktkl Idru russkik kikl altd altdb brat ratks

iucat fdrhufulbkl `dlbkl gjtjtdrkpa

UJK^AD ( Uufyditag,Jfyditag,Ksskdsmdlt, ^drdleklkkl,Ampcdmdltksa`kl Dvkcuksa ) U?J ? 

Aitdai fdiurklb, `akpds rush ta`ki k`k, ta`ki k`k cdedt `a iucat Iucat fkya mksah tkmpki iulalb `kl mksah idmdrkhkl. Pdrpksklb gjtjtdrkpa `dlbkl ckmpu PC 0 fukh PPW Uuhu 52,6 Ej, kirkc tdrkfk hklbkt, EVP ? 5”  L ? ;4> fpm VV ? 70x/m Up>6 ? 18% K ?Mkskckh fdcum tdrktksa ^ ? Altdrvdlsa Cklout 

Tfkh pjsasa ta`ur takp 6 okm



Ckiuikl mksksd pk`k fkbakl yklb tdrtdikl



^kltku iucat fkya `kl suhu alta sdtakp 6 okm ktku cdfah sdralb skmpka stkfac

 



Putupa mktk fkya `dlbkl pjtjlbkl ikal, pkstaikl fkhwk pjtjlbkl ikal tdrsdfut ta`ki mdlutupa ha`ulb fkya



euea krdk pdraldkc sdtdckh sdtakp FKF `kl FKI, bklta `akpdrs



Tiur ik`kr facarufal sdrum sdtakp hkra



Ijckfjrksa pdmdfdrakl jfkt sdsuka al`aiksa `jitdr Kmpaeacal ; x ;5> mr 

Pt`

Bdltkmaeal ; x 7,4 mb Gjtj tdrkpy. 6;.;;. .;;.6 6;

Aitdr itdrai ai fdrh rhu uful ulb bkl `dlbkl pdlalbiktkl

U?

 Ly. M mdlbktkikl mdlbktkikl fkhw fkhwkk iucat fkya ly lykk idiulal idiulalbkl bkl pk`kh ` `kdrkh kdrkh

ik`kr facarufal `kckm `krkh.

wkokh. J?

I/u ? Ud`klb, Kirkc hklbkt, P/i ? EM Iucat tkmpki idiulalbkl (+) Facc tjtkc ? 64 mb%. Facc `ardet ? ;,70 mb% FF ? ;5>> br  FKI/FKF (+/+) PPW ? U ? 52,7 E>  L ? ;44x/m VV ? 70 x/m, Up> 6 ? 18 % ^ ? Mkskckh fdcum tdrktksa A ? Altdrvdlsa cklout

Mdmjlatjr wkrlk iucat fkya Mdlbjfsdrvksa vatkc sabl

 

Mdlamfklb FF Mdlbjfsdrvksa idk`kkl umum fkya Mdlbjfsdrvksa altkid `kl jutput Mdckiuikl tal`kikl ijckfjrksa `dlbkl `jitdr ultui gjtj thdrkpy. 6;.;;.6;

^jck

lkgks

ta`ki   U ? -

dgditag dgdi tag fdrh fdrhufu ufulbkl lbkl J? `dlb `d lbkl kl

Id Idcd cdta tahk hkl l

jtjt pdrlkpkskl



Iu ? sk`kr



Mksah tkmpki rdtrkisa `k`k, mksah sdski k`k, whddzalb k`k, rjleha ta`ki k`k.



U ? 52,2Ej



HV?;44 x/m



VV ? 70 x/m



U^J6 ? 18%

 

 pdraj`d kpldk kpldk +.

K ? ^jck lkgks ta`ki dgditag fdcum tdrktksa ^ ? Altdrvdlsa Cklout  

Jfsdrvksa pdrufkhkl pjck lkgks



Mdlbkikoa pjck uskhk `kl rdstrkisa lkpks



Mdlbktur pjsasa pksadl id pjsasa idpkik sdma distdlsa



^kltku k`klyk kpldk



Ijckfjrksa pdmfdrakl jisabdl



Ijckfjrksa pdmfdrakl jfkt

 

Kmpaeacal 6 x ;5> mb/AW Bdltkmaeal ; x 7,4 mb / AW 6;.;;.6;

Vdsaij aal lgdisa  fdrhufulbkl  fdrhufu lbkl `dlb `dlbkl kl ^rdmkturatks

U ?J?  

i/u Ud`klb,,pksadl mksah `kckm aleufktjr `kl tdrpksklb tdrkpa salkr ( gjtj Pdrkpy ).



Pdrpksklb JBP



Hksac ckf tklbbkc Cduijsat ;;,4 ;>5/uC, DJU ? .580 %, Mjlj ? 6,5 %



PPW ?

U ? 52,7 E>  L ? ;44x/m VV ? 70 x/m Up>6 ? 18 % K ? Vdsaij algdisa  ^ ? Altdrvdlsa Cklout 

tkl`k vatkc `kl tkl`k-tkl`k algdisa sdtakp 7 okm



Bulkikl tdihlai ksdptae sdfdcum `kl sdsu`kh ijltki `dlbkl fkya



Klourikl afu mdleuea tklbkl, mdmfdrsahikl puttalb `kl pkyu`krk `dlbkl kar mktklb sdfdcum mdmdrks KUA



Kokrikl afu ekrk mdleuea tklbkl `dlbkl 7 cklbikh fdlkr



Idcjck pdmfdrakl jfkt. Kmpaeacal 6 x ;5> mb/AW Bdltkmaeal ; x 7,4 mb / AW

Hkra AA

 

Pklbbkc 66.;;. .;;.6 6;

@akbljsk Idpdrkwktkl Idru russkik kikl altd altdb brat ratks

iucat fdrhufulbkl `dlbkl gjtjtdrkpa

UJK^AD ( Uufyditag,Jfyditag,Ksskdsmdlt, ^drdleklkkl,Ampcdmdltksa`kl Dvkcuksa ) U?J ? 

Aitdai fdiurklb, `akpds rush ta`ki k`k, ta`ki k`k cdedt `a iucat Iucat fkya mksah tkmpki iulalb `kl mksah idmdrkhkl. Pdrpksklb gjtjtdrkpa `dlbkl ckmpu PC 0 fukh PPW Uuhu 52,6 Ej, kirkc tdrkfk hklbkt, EVP ? 5”  L ? ;4> fpm VV ? 5>x/m Up>6 ? 18% K ?Mkskckh fdcum tdrktksa ^ ? Altdrvdlsa Cklout 

Tfkh pjsasa ta`ur takp 6 okm



Ckiuikl mksksd pk`k fkbakl yklb tdrtdikl



^kltku iucat fkya `kl suhu alta sdtakp 6 okm ktku cdfah sdralb skmpka

Pt`

stkfac 

Putupa mktk fkya `dlbkl pjtjlbkl ikal, pkstaikl fkhwk pjtjlbkl ikal tdrsdfut ta`ki mdlutupa ha`ulb fkya



euea krdk pdraldkc sdtdckh sdtakp FKF `kl FKI, bklta `akpdrs



Tiur ik`kr facarufal sdrum sdtakp hkra



Ijckfjrksa pdmdfdrakl jfkt sdsuka al`aiksa `jitdr

 

Kmpaeacal ; x ;5> mr  Bdltkmaeal ; x 7,4 mb Gjtj tdrkpy. 66.;;. .;;.6 6;

Aitdr itdrai ai fdrh rhu uful ulb bkl `dlbkl pdlalbiktkl ik`kr facarufal `kckm `krkh.

U?

 Ly. M mdlbktkikl mdlbktkikl fkhw fkhwkk iucat fkya ly lykk idiulal idiulalbkl bkl pk`kh ` `kdrkh kdrkh wkokh. J?

idk`kkl umum euiup I/u ? Ud`klb, Kirkc hklbkt, P/i ? EM Iucat tkmpki idiulalbkl (+) Facc tjtkc ? 64 mb%. Facc `ardet ? ;,70 mb% FF ? ;5>> br  FKI/FKF (+/+) PPW ? U ? 52,7 E>  L ? ;44x/m VV ? 7> x/m, Up> 6 ? 18 % ^ ? Mkskckh fdcum tdrktksa A ? Altdrvdlsa cklout

Mdmjlatjr wkrlk iucat fkya Mdlbjfsdrvksa vatkc sabl Mdlamfklb FF Mdlbjfsdrvksa idk`kkl umum fkya Mdlbjfsdrvksa altkid `kl jutput Mdckiuikl tal`kikl ijckfjrksa `dlbkl `jitdr ultui gjtj thdrkpy. 66.;;.6;

^jck

lkgks

ta`ki   U ? -

 

dgditag dgdi tag fdrh fdrhufu ufulbkl lbkl J? `dlb `d lbkl kl

Id Idcd cdta tahk hkl l

jtjt pdrlkpkskl



Iu ? sk`kr



Mksah tkmpki rdtrkisa `k`k, mksah sdski k`k, whddzalb k`k, rjleha ta`ki k`k.



U ? 52,2Ej



HV?;44 x/m



VV ? 7> x/m